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NEW CMS 1500 Claim Forms - HCFA (Version 02/12) (2500 Sheets)
Price: $42.79
  • 1-Part Laser Form CMS-1500 printed in red ink
  • New Version 02/12 (APPROVED OMB-0938-1197)
  • Medicare will begin accepting this Version 02/12 on 1/06/14. Starting 04/04/14 Medicare will accept this Version 02/12 only.
  • Size: 8-1/2" X 11"; Weight: 24# Paper
  • For Laser and Inkjet Printers
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